Individual
TAYLOR HOWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
930 SW HALL ST., PORTLAND, OR 97201
(503) 725-4073
Mailing address
21114 SNAG ISLAND DR E, LAKE TAPPS, WA 98391-8704
(253) 862-6586
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
10177187
OR
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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